Individual provider · Type 1 NPI

Deborah Marie Ellis, CNM APRN

Psychiatric/Mental Health Nurse Practitioner · Cottonwood Heights, UT

NPI number 1376746883 Active

Practice location

1225 E Fort Union Blvd, Ste 215
Cottonwood Heights, UT 84047-1889

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2206804405 (UT)
Advanced Practice Midwife 367A00000X2206804402 (UT)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X220680-4405 (UT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1376746883

Deborah Marie Ellis, CNM APRN's National Provider Identifier is 1376746883, issued on Jun 11, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cottonwood Heights, UT. The record was last updated on Feb 29, 2016.